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| What is a PPO |
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| Written by Jeff Cline |
| Monday, 23 February 2009 10:37 |
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A Preferred Provider Organization (PPO) is a managed care product. It is health insurance available to consumers that have structured benefits and a professional network of medical professional. Even though a PPO encourages its members to stay in network by promising a negotiated rate or contracted rate you have the freedom to see any professional you would like and still get some benefit. These plans have a set deductible amount. Typical it is an annual dollar amount. A deductible may be $2000. Throughout the year as you incur medical expenses they will go towards your deductible amount. If you met that the insurance company will start to share expenses with you. Once you have met that deductible you may then have co insurance. Co insurance is a set amount that you must pay out of pocket, but usually at a reduced rate. For example, you may have to pay 20% of the expenses until you have met the co insurance amount. So when you here the phrase "out of pocket maximum", what they are talking about is your deductible + co insurance. So if you have a deductible of $3000 + a Co insurance amount of $2000. You would be expected to pay $5000 out of your pocket before the insurance company would pay 100%. A PPO may also have set dollar amount for specified medical treatment called a co-payment. A co-payment would be due if you incur these specified treatments. Office visits and prescriptions typically have co-pays. The main reason consumers are attracted to a PPO is the freedom of choice. They love that they can see any doctor. If you had an HMO you would have to see only providers in your network. With a PPO even if you go out of network the insurer will still share some cost. A PPO is very popular and many people are buying them. You will need to know all the PPO facts. We have only covered the basics here. Compare the facts with your situation before making a decision to buy a PPO product. About the Author: If you are looking for a PPO plan, agent Jeff Cline can help. If you are looking for Nevada Health Insurance or any other State he can help. For budget friendly Temporary Health Insurance he has solutions also. give him a call 24 hours a day, 7 days a week at his toll free number 866-526-9669. Kindly provided by LJ-Marketing.dk You are welcome to use this article on your own website, if you include the link just before this text. |
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